Transitional Care Hospital Patient Handbook - University of Virginia ...
Transitional Care Hospital Patient Handbook - University of Virginia ...
Transitional Care Hospital Patient Handbook - University of Virginia ...
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<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />
<strong>Patient</strong> <strong>Handbook</strong>
Table <strong>of</strong> Contents<br />
Your Healthcare Team 3<br />
Your <strong>Hospital</strong> Stay 4<br />
Our <strong>Hospital</strong> and Services 5<br />
Your Safety and Comfort 7<br />
About Your Bill 8<br />
Discharge Planning 9<br />
<strong>Patient</strong> Rights and Responsibilities 10<br />
Concerns, Complaints, Compliments 11<br />
Welcome to UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>.<br />
TV Channel Guide 12<br />
Pain Management Scale 12<br />
This handbook <strong>of</strong>fers guidelines and resources to help<br />
make your stay easier, safer and more comfortable.<br />
At UVA Health System, and within each <strong>of</strong> our hospitals<br />
Helpful Phone Numbers<br />
<strong>Hospital</strong> Map<br />
Back Cover<br />
Back Inside Flap<br />
and clinics, you will find caregivers and staff who are<br />
dedicated to providing the best environment possible<br />
for your treatment and overall well-being. Our goal is<br />
to exceed your expectations <strong>of</strong> a healthcare provider,<br />
Proveemos servicios de interpretación gratuita a<br />
nuestros pacientes de habla Hispana. Cuando haga<br />
su próxima cita, llámenos al teléfono 434.982.1794<br />
para solicitar los servicios de un intérprete. Pacientes<br />
de habla hispana pueden solicitar este Manual<br />
del Paciente en el idioma Español en “<strong>Patient</strong> and<br />
Guest Services.”<br />
consistently <strong>of</strong>fering top-quality healthcare, as well as<br />
respect and consideration to all who entrust us with their<br />
care. We encourage you to actively participate in your care<br />
by asking questions and by <strong>of</strong>fering your comments and<br />
feedback, because your satisfaction is important to us.<br />
R. Edward Howell, Vice President and CEO <strong>of</strong> <strong>University</strong> <strong>of</strong><br />
<strong>Virginia</strong> Medical Center and UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />
2
UVA Health System<br />
Mission, Vision and Values<br />
Mission<br />
To provide excellence, innovation and<br />
superlative quality in the care <strong>of</strong> patients,<br />
the training <strong>of</strong> health pr<strong>of</strong>essionals, and the<br />
creation and sharing <strong>of</strong> health knowledge.<br />
Vision<br />
In all that we do, we work to benefit<br />
human health and improve the quality<br />
<strong>of</strong> life. We will be:<br />
n<br />
Our local community’s provider <strong>of</strong><br />
choice for its healthcare needs<br />
n<br />
A national leader in quality, patient safety,<br />
UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> Opens its Doors<br />
to <strong>Patient</strong>s with Complex Medical Issues<br />
Welcome to <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>.<br />
Being a part <strong>of</strong> UVA Health System allows our patients to receive full<br />
access to a wide range <strong>of</strong> clinical specialties, the latest technology,<br />
expertise and services. During your stay, nothing is more important to<br />
us than your safety, comfort and well-being.<br />
We specialize in treating individuals with serious and complex medical<br />
conditions that require a longer length <strong>of</strong> stay than is standard at<br />
a typical acute care hospital. Our patients’ average length <strong>of</strong> stay is<br />
between 25-28 days. Most individuals in our facility include those<br />
who need weaning from ventilators, have complex wounds, or have<br />
multiple complex medical issues that require more daily nursing,<br />
therapy, nutritional and physician care.<br />
service and compassionate care<br />
n<br />
The leading provider <strong>of</strong> technologicallyadvanced,<br />
ground-breaking care<br />
throughout <strong>Virginia</strong><br />
n<br />
Recognized for translating research<br />
discoveries into improvements in clinical<br />
care and patient outcomes<br />
n<br />
Fostering innovative care delivery and<br />
teaching/training models that respond<br />
to the evolving health environment<br />
Values<br />
This institution exists to serve others,<br />
and does so through the expression <strong>of</strong><br />
our core values:<br />
Respect...<br />
to recognize the dignity <strong>of</strong> every person<br />
Integrity...<br />
to be honest, fair and trustworthy<br />
Stewardship...<br />
to manage resources responsibly<br />
Excellence...<br />
to work at the highest level <strong>of</strong><br />
performance, with a commitment<br />
to continuous improvement<br />
2
Your Healthcare Team<br />
In our facility, you and your loved ones are integral<br />
members <strong>of</strong> our interdisciplinary team. You will see<br />
and talk with members <strong>of</strong> your team on a daily basis.<br />
This may include:<br />
Attending Physicians Medical Doctors (MD) or Doctors<br />
<strong>of</strong> Osteopathic Medicine (DO) who have the primary<br />
responsibility for your care. They may also ask other<br />
physicians who have a specialty in various fields<br />
to evaluate and treat you during your stay with us.<br />
Specialists commonly seen in our facility include kidney<br />
doctors and plastic surgeons.<br />
Case Managers Nurses or social workers who help<br />
communicate and coordinate your care with your treatment<br />
team, Medicare, Medicaid or your private insurance.<br />
They assist you and your loved ones in planning for and<br />
coordinating any needs you may have for your discharge<br />
from our facility. Speak with your case manager if lodging<br />
or services in our area are needed.<br />
Catering Associates Staff who provides a balanced<br />
selection <strong>of</strong> well–prepared food that specifically meets<br />
your dietary needs.<br />
Chaplains (non-denominational) Provide spiritual<br />
care, support and comfort for you and your loved ones.<br />
The chaplain can arrange for a religious ritual or a visit from<br />
your spiritual leader. If you or your loved ones would like<br />
to see a chaplain, dial “0” or ask a team member to contact<br />
the on-call chaplain for you.<br />
Clinical Liaison A liaison who meets with you and<br />
reviews your clinical needs before you come to our facility.<br />
They are also available to meet with your loved ones, your<br />
treating physician and other clinicians to ensure a smooth<br />
transition when you come to our facility.<br />
Director <strong>of</strong> Quality Helps to interpret the rules <strong>of</strong><br />
healthcare regulation agencies and works with and through<br />
the staff to help make sure you receive safe and satisfying<br />
care. With input from the entire care team, including our<br />
patients and families, the Director <strong>of</strong> Quality also seeks<br />
ways to improve services and outcomes.<br />
Ethics Consult Service Available at times when our<br />
patients, their loved ones and our staff face difficult ethical<br />
issues about treatment choices. This service is available<br />
24-hours-a-day by dialing “0” and asking the operator to<br />
page number 1712.<br />
Health Unit Coordinator (HUC) Assistant located<br />
at the Team Station who coordinates communication<br />
and documentation.<br />
Housekeepers Keep our facility clean, neat and<br />
orderly.<br />
Nurse Practitioners (NP)/Physician Assistants (PA)<br />
Clinicians who have completed special training and<br />
work with physicians to provide and/or direct your care<br />
and treatment.<br />
Occupational Therapists (OT) Help you with<br />
basic daily tasks like bathing, dressing and toileting. They<br />
also help you do activities that you may enjoy but find to<br />
be challenging now due to your physical limitations.<br />
<strong>Patient</strong> <strong>Care</strong> Assistant (PCA) or <strong>Patient</strong> <strong>Care</strong><br />
Technicians (PCT) Staff who, with guidance from your<br />
RN, take vital signs and assist you with your daily needs.<br />
Pharmacists Prepare and dispense your medications<br />
and consult with your team to be sure your treatment gives<br />
you the most benefit. They can answer your questions<br />
about medicines and possible reactions.<br />
Physical Therapists (PT) Therapists who teach<br />
you how to move safely and plan for the equipment you<br />
may need to ensure safe mobility in the hospital and<br />
when you leave.<br />
2
Psychologists Mental health practitioners provide you<br />
and your loved ones with counseling and support to help<br />
you deal with your illness.<br />
Registered Dieticians (RD) Evaluate your nutritional<br />
needs and suggest the best types <strong>of</strong> alternative<br />
feedings, if necessary.<br />
Registered Nurses (RN)/Licensed Practical Nurse<br />
(LPN) Those who coordinate, implement and/or<br />
oversee all <strong>of</strong> your care.<br />
Respiratory Therapists (RT) Evaluate, treat and care<br />
for patients with breathing or other cardiopulmonary<br />
disorders. They help you breathe easier with or without<br />
equipment and medicines.<br />
Speech and Language Pathologists (SLP)<br />
Help you overcome difficulties in swallowing, speaking<br />
and understanding language, as needed.<br />
Your <strong>Hospital</strong> Stay<br />
<strong>Care</strong> Partners<br />
A <strong>Care</strong> Partner is a person(s) you appoint to stay with<br />
you and be involved in your care during your stay in our<br />
facility. When you are admitted to our facility, we will ask<br />
you to appoint one or two adults to be your <strong>Care</strong> Partners.<br />
You may change your <strong>Care</strong> Partners at any time during<br />
your stay. They will become integral members <strong>of</strong> your<br />
healthcare team and will be able to keep other family/<br />
friends/loved ones informed about your care.<br />
Mail, Packages, Balloons and Flowers<br />
These items may be sent directly to:<br />
UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />
2965 Ivy Road<br />
Charlottesville, VA 22903<br />
Please note: only mylar balloons, not latex, are permitted<br />
in our facility to ensure the safety <strong>of</strong> all our patients. If mail<br />
or packages arrive for you after your discharge, we will<br />
have them forwarded to the address we were given at<br />
the time <strong>of</strong> your admission. Please call our main hospital<br />
number at 434.243.4394, if you have any questions.<br />
Friends and family may also send free e-cards now<br />
available via our website: uvahealth.com/ecards<br />
<strong>Patient</strong> Food Services<br />
Catering-To-You allows our Nutrition Services team to<br />
bring you the diet ordered by your physician. The Catering<br />
Associate will help you make your meal and snack choices<br />
daily. If you are given a restricted diet, the associate will talk<br />
to you about this. If you arrive late in the evening, talk with a<br />
member <strong>of</strong> your treatment team about your food options.<br />
<strong>Patient</strong> Rooms<br />
All <strong>of</strong> our patient rooms are private. Each room is designed<br />
to promote healing and comes equipped with the latest<br />
innovations in technology to enhance your comfort.<br />
Our beds are all electronically operated and equipped<br />
with controls for lights, telephone, TV and a call system to<br />
contact a member <strong>of</strong> your treatment team. We will review<br />
how to use these items when you are introduced to your<br />
room. In addition, some <strong>of</strong> our rooms are specifically<br />
adapted to meet the special needs <strong>of</strong> our bariatric and<br />
dialysis patients.<br />
Quiet Time<br />
To help promote healing and reduce stress, we encourage<br />
a quiet atmosphere throughout our facility. We <strong>of</strong>fer<br />
earplugs or earphones for the bed’s pillow speaker if<br />
noise is a problem. If you have any questions or concerns,<br />
please speak to a member <strong>of</strong> your treatment team.<br />
4
Telephones<br />
We ask that you have friends, family or loved ones call<br />
either you or your <strong>Care</strong> Partner directly to receive information<br />
about your condition. You may use the telephone on the bed<br />
to make a call 24-hours-a-day. These phones do not accept<br />
calls between 10 p.m. and 8 a.m. to allow for your rest.<br />
To dial an outside number, dial “9” then your number.<br />
To make a long distance collect call, dial “1-0” and then<br />
the area code and number. If you need further assistance,<br />
call our hospital operator by dialing “0.”<br />
Cell Phones<br />
To ensure the safety <strong>of</strong> our patients, cell phone use is<br />
permissable only in certain areas. Unless you are utilizing<br />
an Ntelos brand phone, please refrain from using your<br />
cell phone or ask a staff member to direct you to an<br />
approved area.<br />
O<br />
Television/Music<br />
At each bed, you have access to cable channels from<br />
Comcast. Ask us for help with closed captions or headphones<br />
to use with the bed control. The full television<br />
channel guide can be found on page 12 <strong>of</strong> this booklet.<br />
Your Belongings<br />
During your admission process, we will make a list <strong>of</strong><br />
the belongings you brought with you to our facility.<br />
We ask that you send any valuables home. A small safe<br />
is available for your valuables if they cannot be taken<br />
home. If you have eyeglasses, dentures or hearing aids,<br />
they should be kept visible and accessible to you.<br />
<strong>Patient</strong> belonging bags will be provided to you for storing<br />
these items. If you bring in electronic devices such as<br />
laptops, they are the responsibility <strong>of</strong> you and your <strong>Care</strong><br />
Partner. Any devices you use in your bed must be used<br />
on battery power only.<br />
Our <strong>Hospital</strong> and Services<br />
Lobby<br />
Our lobby is the central hub for our services. Visitors<br />
are met by our receptionist at the front desk where<br />
they can receive their visitor pass between the hours<br />
<strong>of</strong> 9 a.m. and 9 p.m. If the receptionist is <strong>of</strong>f duty,<br />
please obtain a visitor pass from the team station on<br />
the unit. From our lobby area, you can be directed to<br />
our public restrooms, dining area, patient rooms and<br />
to UVA Imaging Center also located on the first floor<br />
<strong>of</strong> our building.<br />
2<br />
5
Our <strong>Hospital</strong> and Services (continued)<br />
Food Services<br />
The Outtakes Café is located on the first floor <strong>of</strong> our<br />
<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, where we <strong>of</strong>fer a variety <strong>of</strong><br />
prepared food options and vending services in a<br />
comfortable dining atmosphere. The café is open Mon.- Fri.<br />
from 8 a.m. to 4 p.m. Vending is available 24/7. You may<br />
also enjoy your meal or snack on our outdoor patio.<br />
Foreign/Sign Language Services<br />
Free interpreter services are available through the use<br />
<strong>of</strong> our Cyracom telephones and TDD. These services are<br />
available for our patients and their loved ones who have<br />
a limited ability to speak or read English, or who are deaf<br />
or hearing impaired. Ask a team member for information<br />
on how to access these services.<br />
Chapel<br />
An interfaith chapel is on the second floor <strong>of</strong> TCH.<br />
This chapel is open 24-hours-a-day for quiet prayers<br />
and reflection. A chaplain is on site or on call 24/7.<br />
Blood Donations<br />
Blood donation services are available on the main<br />
campus <strong>of</strong> the UVA Medical Center. The blood donor<br />
room is located in the lobby <strong>of</strong> the West Complex. If you<br />
or your loved ones would like to donate blood, go to<br />
vablood.org or call 434.243.2999 for more information.<br />
Organ/Tissue Donation<br />
We encourage you to talk about organ/tissue donation<br />
with your doctor, family and friends. Under <strong>Virginia</strong><br />
law, your wish to be an organ/tissue donor must be<br />
honored. Detailed information is at: Save7lives.org or by<br />
calling LifeNet, <strong>Virginia</strong>’s organ procurement agency, at<br />
434.296.7910 (toll-free 800.847.7831).<br />
Gift Shop<br />
The gift shop is located <strong>of</strong>f the lobby on the first floor<br />
<strong>of</strong> <strong>University</strong> <strong>Hospital</strong>, on the main campus <strong>of</strong> the<br />
UVA Medical Center. The shop is open Mon.- Fri. from<br />
8 a.m. to 8 p.m. and on Saturday and Sunday from<br />
9 a.m. to 5 p.m.<br />
Shuttle<br />
We provide a shuttle to and from UVA Medical Center<br />
approximately every 45 minutes, Mon. - Fri. from<br />
8:38 a.m. - 4:53 p.m. A taxi service is also available when<br />
the shuttle is not running.<br />
Health Sciences Library<br />
Claude Moore Health Sciences Library is located<br />
on the main campus <strong>of</strong> UVA Medical Center between<br />
<strong>University</strong> <strong>Hospital</strong> and West Complex. You can access<br />
health information and check out books. Contact the<br />
library by dialing 434.924.5444.<br />
6
Your Safety and Comfort<br />
Communication<br />
At UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, we take every<br />
opportunity possible to involve you and your <strong>Care</strong><br />
Partner in your care. We believe good communication<br />
is key to keeping you safe. Our nursing staff will give<br />
their shift report at your bedside so you are able to<br />
hear an update and ask questions about your care.<br />
Our physicians and interdisciplinary team also make<br />
daily rounds to review your care and establish your plan<br />
<strong>of</strong> care for the next 24 hours. Once a week we will review<br />
your plan <strong>of</strong> care, establish weekly goals and discuss<br />
your discharge goals. This plan will be reviewed with you<br />
and you are encouraged to ask questions at any point<br />
during your stay.<br />
Some questions to consider include:<br />
n<br />
What is wrong? (My diagnosis)<br />
n<br />
What might happen next? (My prognosis)<br />
n<br />
What medical tests, treatment plans and medicines<br />
do I need?<br />
n<br />
How do I get help or more information about taking<br />
care <strong>of</strong> myself after leaving the hospital?<br />
n<br />
What can I expect in the future?<br />
n<br />
Will I need follow-up care?<br />
Advance Directives<br />
Advance Directives are legal documents you can use<br />
to make your healthcare decisions known. This booklet<br />
contains an Advance Directive form and instructions in<br />
the back pocket. You can also ask your Case Manager<br />
to provide you with one.<br />
<strong>Patient</strong> Identification<br />
When you are admitted to <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>,<br />
you will receive a band to wear on your wrist. This band<br />
will have your name, date <strong>of</strong> birth and medical record<br />
number. To keep you safe, our staff will confirm your<br />
name and date <strong>of</strong> birth before giving you any medications<br />
or performing any procedures.<br />
Staff Identification<br />
Members <strong>of</strong> your treatment team will identify themselves<br />
and their role in our facility when they enter your room.<br />
They will also explain why they have come to see you.<br />
Our staff also wear a name badge to identify who they<br />
are and what they do. These name tags are worn above<br />
the waist so you may be able to read them clearly. If you<br />
are unable to read a nametag, please feel free to ask.<br />
Preventing Falls<br />
Feeling weak, taking certain medicines and being in<br />
an unfamiliar place can make you more likely to fall.<br />
Ask us about our “Fall Prevention Program” and:<br />
n<br />
Follow our instructions about getting in and out <strong>of</strong><br />
bed or walking around.<br />
n<br />
Ask for help if you feel weak or dizzy.<br />
n<br />
Wear low-heeled, non-skid shoes or slippers.<br />
n<br />
Keep personal items in easy reach. If you cannot reach<br />
something you need, press the call button for help.<br />
n<br />
Let us know if you see anything that might be a safety<br />
hazard – like liquid spills or suspicious smoke.<br />
Preventing Infections<br />
Infection prevention is very important. We use gloves,<br />
gowns, masks and eye protection based on your<br />
condition. <strong>Patient</strong>s, visitors and staff must follow<br />
any instructions posted at your door.<br />
n<br />
Your visitors should come to the hospital only<br />
if they feel well.<br />
n<br />
Anyone coming in contact with you should wash or<br />
cleanse their hands upon entering and exiting your<br />
room. Hand cleaner/alcohol gel can be found outside<br />
the patient rooms and is routinely used by staff to<br />
cleanse their hands.<br />
n<br />
If you cannot get out <strong>of</strong> bed to wash your hands,<br />
ask your nurse for hand cleaner.<br />
n<br />
Bathrooms in patient rooms are for patients only.<br />
Everyone else should use public restrooms.<br />
2<br />
7
Pain Management<br />
Your comfort is important to us. Members <strong>of</strong> your<br />
treatment team will ask you about your pain and discuss<br />
a goal to optimize your physical and emotional comfort.<br />
We use a tool called the “UVA Pain Management Scale”<br />
(see page 12) when we ask you about pain.<br />
At any time, please tell your team member:<br />
n<br />
When you started feeling pain and how long it lasted<br />
n<br />
Where you feel the pain<br />
n<br />
How strong the pain is and how it feels (sharp, dull or ache)<br />
n<br />
What you are unable to do because <strong>of</strong> the pain<br />
n<br />
If you are having surgery or a procedure, staff will work<br />
together to ensure your safety. Members <strong>of</strong> the nursing<br />
staff will regularly ask you if your needs are being met..<br />
Tobacco and Smoke-Free Zone<br />
UVA hospital grounds and buildings are tobacco and<br />
smoke-free.<br />
Speak Up for Safety<br />
We support the “Speak Up for Safety.” Please refer to<br />
the booklet.<br />
n<br />
What makes your pain better and what makes it worse<br />
Additional Safety Tips<br />
There are many things you can do to be an informed,<br />
active participant in your healthcare and to increase<br />
your healthcare safety.<br />
n<br />
Learn as much as possible about your illness and<br />
treatment options. Write down your questions and<br />
practice asking them (see page 7 <strong>of</strong> the handbook).<br />
n<br />
Pay attention to and report your symptoms – pain,<br />
nausea, drowsiness, etc. – or if something just<br />
doesn’t “feel right.”<br />
n<br />
Let your healthcare team know about all your<br />
medicines, including over-the-counter or herbals,<br />
allergies and any reactions to medicines or treatments.<br />
Ask your nurse for a wallet card to list your medicines.<br />
n<br />
Be sure healthcare providers correctly identify you<br />
by looking at your ID bracelet and asking your name<br />
and date <strong>of</strong> birth.<br />
n<br />
Ask healthcare providers to say who they are and<br />
explain what they are doing.<br />
n<br />
Ask a family member or friend to be with you when<br />
talking with your doctor or others to help recall what<br />
was said, to take notes, or to ask questions. They can<br />
also help us know your specific needs.<br />
n<br />
Pay attention to your care and make sure you are<br />
getting the right treatments and medicines.<br />
n<br />
You are the center <strong>of</strong> your healthcare team.<br />
Ask about anything you do not understand.<br />
About Your Bill<br />
For most services at UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>,<br />
you will receive two bills:<br />
n<br />
One bill will be from the hospital and include charges<br />
such as room and board, medicine, supplies, and<br />
radiology and laboratory tests.<br />
n<br />
Another bill will come from UVA Physicians Group<br />
(UPG) for services provided by doctors.<br />
n<br />
Paying these bills is your responsibility. However,<br />
as a courtesy, the hospital and UPG will file claims to<br />
your insurance company for you at your request.<br />
Unable to Pay Your Bill?<br />
If you are unable to pay for your care, you may be<br />
able to receive help.<br />
n<br />
Your social worker can tell you about our financial<br />
assistance program.<br />
n<br />
You can also visit uvahealth.com and click on<br />
“patient and visitor info.”<br />
n<br />
Please call our Financial Screening <strong>of</strong>fice at<br />
434.924.5377 or 800.523.4398 to ask for or<br />
find out more about financial assistance.<br />
n<br />
A completed application will be required, and you<br />
will be asked to write down all assets and income.<br />
Questions or Concerns?<br />
Our staff can address your questions or concerns<br />
about your bills.<br />
n<br />
For hospital charges, call 434.924.5377.<br />
8
Discharge Planning<br />
From the time you are admitted to UVA <strong>Transitional</strong><br />
<strong>Care</strong> <strong>Hospital</strong>, we will work with you to plan for<br />
your discharge day. This is the day you will either<br />
be discharged home from our facility or successfully<br />
transition to another level <strong>of</strong> care. Your team will<br />
work closely with you and your loved ones to ensure<br />
your discharge needs are identified and met.<br />
We will work with your local vendors, service<br />
providers and community resources to meet your<br />
needs after discharge.<br />
Frequently Asked Questions about<br />
Discharge Day:<br />
Who decides when I am ready to leave the hospital?<br />
Your doctor and the healthcare team will work with<br />
you to decide the best time for your discharge.<br />
Our goal for your discharge is before noon so you can<br />
get home and get settled before evening.<br />
What do I need to do?<br />
When a discharge date is set, make sure someone<br />
can bring you home and have home care ready.<br />
Before your discharge day, have someone take your<br />
items and gifts home and bring loose-fitting clothes<br />
for you to wear home.<br />
What if I am going to another facility, not home?<br />
The hospital staff will make arrangements for you to<br />
get to the other facility.<br />
Will I get instructions before I leave?<br />
Yes, we will review written discharge instructions with<br />
you about your care, level <strong>of</strong> activity, follow-up visits,<br />
medicine, supplies, and services. This is the time to<br />
get all <strong>of</strong> your questions answered.<br />
Will I get medicines or prescriptions before I leave?<br />
Your doctor may order medicines for you to take after<br />
you are discharged from the hospital. We encourage<br />
you to have these prescriptions filled at your local<br />
pharmacy so they know all <strong>of</strong> the medicines you are<br />
taking. Keep a current list <strong>of</strong> your medicines and<br />
allergies and vaccinations. For all medicines write<br />
down the name, how many (amount), how much<br />
(dose), when and why it is taken, and anything<br />
special. UVA is making it easier for you to keep track<br />
<strong>of</strong> this information through a new online tool known<br />
as MyChart. Learn more at mychartuva.com.<br />
Who can I call if I have questions about possible<br />
home health services?<br />
During regular business hours, your case manager<br />
can help you understand your Home Health choices<br />
and services.<br />
2
<strong>Patient</strong> Rights and Responsibilities<br />
UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> provides an environment<br />
that promotes quality healthcare for its patients while<br />
respecting the rights <strong>of</strong> those patients. Employees are<br />
expected to assist patients, their legal representatives<br />
(surrogate decision makers), and their families in<br />
understanding and exercising each patient’s rights.<br />
Likewise, patients, their legal representatives and their<br />
families are expected to understand their responsibilities<br />
to the individuals providing care and services to them.<br />
<strong>Patient</strong> Bill <strong>of</strong> Rights<br />
<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> is dedicated to providing each<br />
patient the best healthcare and service possible. Our staff<br />
understand that patients expect to receive considerate<br />
and respectful care. We honor patients’ rights to be<br />
informed about, and involved in, making decisions about<br />
care and treatment. Each patient, or the patient’s legal<br />
representative(s), has the following rights:<br />
n<br />
To receive considerate and respectful care in an<br />
environment that preserves personal dignity;<br />
n<br />
To have his/her cultural, psychosocial, spiritual and<br />
personal values, beliefs and preferences respected and<br />
to have access to pastoral and other spiritual services;<br />
n<br />
To know about the patient’s illness or condition<br />
and proposed treatment and to participate in the<br />
development <strong>of</strong> a plan <strong>of</strong> care. Doctors and other<br />
members <strong>of</strong> the care team will provide information<br />
in language the patient or legal representative can<br />
understand, and will use interpreter or other languageassistance<br />
services as necessary;<br />
n<br />
To make decisions about the patient’s care, including<br />
the right to know why operations or treatments are<br />
needed and who will perform the operations or<br />
treatments. This includes the right to refuse care or<br />
treatment and to know what may happen if care or<br />
treatment is not provided;<br />
n<br />
To develop advance directives if the patient has<br />
decision-making capacity and is 18 years <strong>of</strong> age or over,<br />
and to have hospital staff comply with those directives;<br />
n<br />
To access information contained in the patient’s medical<br />
record. This includes the right to know the name <strong>of</strong> the<br />
doctor who is in charge <strong>of</strong> care and treatment and the<br />
names <strong>of</strong> other Medical Center staff providing care;<br />
n<br />
To have a family member or representative and the<br />
patient’s own physician notified promptly <strong>of</strong> the patient’s<br />
admission to the hospital;<br />
n<br />
To receive treatment without discrimination as to race,<br />
color, religion, sex, national origin, disability, sexual<br />
orientation, or source <strong>of</strong> payment;<br />
n<br />
To receive care in a safe setting, free from mental,<br />
physical, sexual and verbal abuse and neglect,<br />
exploitation and harassment and to access protective<br />
and advocacy services, including notifying government<br />
agencies <strong>of</strong> neglect or abuse;<br />
n<br />
To personal privacy while in the hospital and to have<br />
all information about the illness or condition and care<br />
treated as confidential as consistent with law;<br />
n<br />
To be free from restraints <strong>of</strong> any form that are not<br />
medically indicated;<br />
n<br />
To receive appropriate assessment and management<br />
<strong>of</strong> pain;<br />
10
n<br />
To agree or refuse to take part in or withdraw from<br />
any research study or experiment related to care<br />
or treatment;<br />
n<br />
To review bills and have questions about bills answered;<br />
n<br />
To know about a practitioner’s financial relationships<br />
with drug, medical product and medical device<br />
companies. <strong>Patient</strong>s and/or their agents may ask their<br />
practitioners about such relationships, and may also<br />
find information regarding practitioners’ relationships on<br />
the <strong>University</strong> <strong>of</strong> <strong>Virginia</strong> Health System website under<br />
uvahealth.com;<br />
n<br />
To discuss concerns or file a complaint regarding your<br />
experience as a patient <strong>of</strong> UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />
with our Director <strong>of</strong> Clinical Operations, Director <strong>of</strong> Quality<br />
Improvement or our Director <strong>of</strong> Case Management, and<br />
to receive a response in a timely manner. There is also<br />
a right to an internal appeal to any such response and a<br />
right to file a complaint with an external agency.<br />
Your Responsibilities as Our <strong>Patient</strong><br />
In order to receive optimal care, you and your legal<br />
guardian are responsible for:<br />
n<br />
Providing accurate and complete information about your<br />
present illness and past medical history and wishes for<br />
your care and reporting perceived risks in your care and<br />
unexpected changes in your condition;<br />
n<br />
Asking questions when you do not understand what you<br />
have been told about your care, and when you<br />
do not understand what you are expected to do;<br />
n<br />
Following the care, service or treatment plan that has<br />
been developed for you and reporting any concern<br />
you may have about your ability to follow and comply<br />
with any proposed plan or course <strong>of</strong> treatment;<br />
n<br />
Accepting the consequences if you do not follow your<br />
care, service or treatment plan;<br />
n<br />
Following the hospital’’s policies concerning patient<br />
care and conduct which forbid:<br />
n<br />
Engaging in verbal or physical abuse<br />
n<br />
Using alcohol or illegal substances<br />
n<br />
Carrying weapons <strong>of</strong> any kind<br />
n<br />
Being courteous and showing respect for the rights<br />
<strong>of</strong> others and being considerate <strong>of</strong> the Health System’s<br />
personnel and property;<br />
n<br />
Promptly meeting any financial obligation.<br />
Concerns, Complaints, Compliments<br />
Concerns, Complaints, Compliments<br />
At UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong>, we strive to<br />
create an atmosphere <strong>of</strong> openness and hospitality.<br />
Your concerns, complaints and compliments are very<br />
important to us. If you have unresolved concerns or<br />
complaints, or you would like to give a testimonial<br />
about a positive experience, our leadership team<br />
wants to hear from you. Please call our main hospital<br />
number at 434.243.4394 and ask to speak with a<br />
director. In addition, you always have the right to<br />
contact the agencies listed below to register a complaint<br />
if you are not completely satisfied with our response.<br />
Voicing concerns or complaints will not result in<br />
negative effects in your care so you are encouraged<br />
to speak freely — we want to hear from you.<br />
Office <strong>of</strong> Licensure and Certification<br />
<strong>Virginia</strong> Department <strong>of</strong> Health<br />
9960 Mayland Drive, Suite 401<br />
Richmond, VA, 23233<br />
800.955.1819/804.367.2106<br />
Fax: 804.527.4503<br />
Email: complaints@vdh.virginia.gov<br />
vdh.state.va.us/OLC<br />
Office <strong>of</strong> Quality Monitoring,<br />
The Joint Commission<br />
One Renaissance Boulevard<br />
Oakbrook Terrace, IL 60181<br />
800.994.6610<br />
Fax: 630.792.5636<br />
Email: complaints@jointcommision.org<br />
jointcommision.org<br />
Office for Civil Rights, DHHS<br />
150 S. Independence Mall West, Suite 372<br />
Philadelphia, PA 19106-3499<br />
215.861.4440/ 215.861.4441<br />
Fax: 215.861.4431<br />
2 11
UVA <strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> TV Channel Guide<br />
3 WVAW 16 (ABC)<br />
4 WVIR 29 (NBC)<br />
5 QVC<br />
6 WCAV 19 (CBS)<br />
7 WHTJ 41 (PBS)<br />
8 The Comcast Network<br />
9 WAHU 27 (Fox)<br />
10 Cville Go. Access<br />
11 WVPT 51 (PBS)<br />
12 WVIR 29 (CW)<br />
13 Public Access<br />
14 Local Education<br />
15 C-SPAN<br />
16 Home Shopping Network<br />
17 G4<br />
18 WTTG 5 (Fox DC)<br />
19 Jewelry TV<br />
20 TBN<br />
21 CNBC<br />
22 MASN2<br />
23 MSNBC<br />
24 CNN<br />
25 CNN Headline News<br />
26 Fox News<br />
27 The Weather Channel<br />
28 USA<br />
29 A&E<br />
30 Lifetime<br />
31 E!<br />
32 BET<br />
33 TV Guide Network<br />
34 TBS<br />
35 ESPN<br />
36 ESPN2<br />
37 Comcast SportsNet<br />
38 The Golf Channel<br />
39 Viendo Movies<br />
40 TNT<br />
41 Spike TV<br />
42 ABC Family<br />
43 Disney Channel<br />
44 Cartoon Network<br />
45 Nickelodeon<br />
46 Animal Planet<br />
47 Discovery Channel<br />
48 TLC<br />
49 Hallmark Channel<br />
50 Travel Channel<br />
51 TV Land<br />
52 Bravo<br />
53 Oxygen<br />
54 AMC<br />
55 Hallmark<br />
56 Syfy<br />
57 FX<br />
58 truTV<br />
59 History Channel<br />
60 Food Network<br />
61 HGTV<br />
62 Comedy Central<br />
63 MTV<br />
64 VH1w<br />
66 BIO<br />
67 History 2<br />
68 Style<br />
69 LMN<br />
70 MASN<br />
Pain Management Scale<br />
Pain Rating<br />
Activity Rating<br />
10 Worst possible pain<br />
9 Unable to do any activities because <strong>of</strong> pain<br />
8 Extreme pain<br />
7 Unable to do most activities<br />
6 Severe pain<br />
5 Unable to do some activities because <strong>of</strong> pain<br />
4 Moderate pain<br />
3 Can do most activities with rest periods<br />
2 Mild pain<br />
1 Pain is present but does not limit activity<br />
0 No pain — able to do all activities<br />
Faces: Modified from Wong DL: Whaley & Wong’s essentials <strong>of</strong> pediatric nursing, ed<br />
5, pp1215-16, St. Louis, 1997, Mosby. Used with permission.<br />
Thermometer: Used with permission from Keela Herr, <strong>University</strong> <strong>of</strong> Iowa.<br />
12
Helpful Phone Numbers<br />
<strong>Hospital</strong> Operator “0” inside the hospital or 434.982.1100<br />
<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong> front desk 434.243.4394<br />
Billing Questions<br />
For hospital charges 434.924.5377 or 800.523.4398<br />
For physician charges 434.980.6110 or 800.868.6600<br />
Blood Donations 434.977.8956 or 434.243.2999<br />
Organ Procurement (LifeNet) 434.296.7910 or 800.847.7831<br />
Health Sciences Library 434.924.1607<br />
Compliance and Privacy Office (for HIPAA privacy concerns) 434.924.2938<br />
<strong>Care</strong> Management (for ethical concerns and questions) 434.924.9126<br />
<strong>University</strong> <strong>Hospital</strong> Gift Shop 434.924.2447<br />
Lodging Arrangements 434.924.1299<br />
Medical Records (voicemail - leave a message) 434.924.5136<br />
<strong>Patient</strong> Information (for patient room and phone number) 434.982.1100<br />
Ethics Consult Service Dial “0”<br />
Ask for pager number 1712<br />
Chaplaincy Services (for spiritual needs) Dial “0”<br />
<strong>Transitional</strong> <strong>Care</strong> <strong>Hospital</strong><br />
2965 Ivy Road | Charlottesville, VA 22903<br />
uvahealth.com